Görüntülü olgu örnekleri Case images
Isolated left ventricular diverticulum
in an adult
Yetiflkin bir hastada
izole sol ventrikül divertikülü
Congenital left ventricu-lar diverticulum is a rare cardiac malformation. It is mostly asymptomatic. Most of the left ventric-ular diverticula are located at the apex of the left ventricle, but they may also be found in any other location. A 38-year-old man was admitted to our hospital with atypical chest pain of six-month history. There was no other symptom. He was a smoker (1/4 pack/day for four years). He had no family history of
cardiac events. Vital and laboratory findings were in normal range. Physical examination showed normal findings. His electrocardiogram showed sinus rhythm with 70 beats/min without any ST-T abnor-malities.
Upon suspicion of coronary artery disease, we decid-ed to perform multislice computdecid-ed tomography to examine the entire coronary artery tree. The patient’s coronary artery tree was normal and there was no lesion other than a diverticulum, 10 mm in size, located in the inferoseptal wall of the left ventricle (Figures A and B). Considering asymptomatic and benign nature of isolated left ventricular diverticuli, we decided to follow-up the patient with medical therapy.
Figures. (A) Short-axis and (B) two-chamber maximum intensity projection images showing a 10-mm diverticulum in the inferoseptal wall of the left ventricle.
A B Cihan Duran,1 Murat fiener,2 Demet Erciyes,2 Murat Gülbaran2 Departments of 1Radiology
and 2Cardiology, Florence
Nightingale Hospital, Medicine Faculty of Bilim University, ‹stanbul
